What is MIPRES?

It is an application designed by the Ministry of Health, which has been made available on the internet for health professionals to formulate to patients in the Contributory Regime all medications, procedures, supplies and devices that are not covered by the Benefits plan ( NPBS) or (NO POS). Health professionals who can access Mipres can be Doctors, Dentists, Nutritionists and Optometrists.

This application replaces the Scientific Technical Committee (CTC) for users of the contributory regime. For users of the subsidized regime, the Scientific Technical Committee (CTC) remains in force.

What is Health Benefits Plan (PBS)?

The Health Benefits Plan is the set of services and technologies to which all members of the General Social Security Health System (SGSS) have access, charged to the UPC

What is a health service or technology not included in the Health Benefits Plan (NPBS)?

It is the set of services and technologies that are not covered by the health benefits plan and require some additional procedures that have been established by the Ministry of Health for their effective delivery.

(Mipres for the contributory regime and CTC for the subsidized regime)

Services that can be prescribed through MIPRES:

• Only drugs that are parameterized in MIPRES.
• The Procedures that have a Single Code of Health Procedures (CUPS) that is to say that they are included in resolutions 1132 and 1678 of 2017.
• Inputs Materials or Devices that are parameterized in MIPRES and always mention the procedure in which they will be used.

Services that require a board: some of the services that health professionals authorized for this purpose can prescribe must be evaluated by a board of IPS professionals that determines the relevance of the service:

• Complementary services that correspond to a service that, although it does not belong to the field of health, its use is essential to improve health or prevent disease. The only services classified as complementary and that must be prescribed when they are currently fully relevant are: sunscreen, shampoo and hair lotions, graduated compression and anti-embolic stockings, diapers, shoes and orthopedic insoles, contact lenses and ambulance transport other than ambulance.
• Nutrition (nutritional support) when prescribed in the outpatient setting only. Does not apply to nutritional supplements with Sanitary Registration as Medicine.
• Medications prescribed for an indication other than that authorized by INVIMA, in these cases, in order for them to be sent to a board of professionals, they must be included in the UNIRS LIST (medications on the list of uses not included in the health registry) published on the website of the ministry of health and parameterized in MIPRES.

Scope of the prescription: this term refers to the type of service where the user is attended, which defines different requirements for the prescription, dispensing and its times:

• Non-prioritized Outpatient setting: outpatient care, dispensing that must be done in 5 days and in some cases, such as nutrition, requires a prior meeting for approval.
• Prioritized outpatient setting: outpatient care, dispensing that must be done in 1 day and in some cases, such as nutrition, requires a prior meeting for approval.
• Inpatient hospital setting: hospitalization care whose service is provided during the user's care.
• Emergency area: emergency care whose dispensation of the service is carried out during the care of the user or derived from this care, within the following 24 hours.
• Home hospital setting: hospitalization care that will be dispensed at the outpatient pharmacy to a home service provider, as continuity of treatment and must be dispensed within the following 24 hours

***The process of "hospital discharge" must be taken into account, in which the IPS where the user was hospitalized prescribes services for the "home hospital environment", the EPS guarantees dispensation in 6 hours and the user is transferred to your home for application.

How does the user access a service not included in the PBS?

Access to a health benefit that is not included in the Health Benefits Plan (PBS) is defined by the attending physician during the medical care, who to prescribe it (Formulate it) must enter the Ministry's MIPRES application online and there formulate the service that the patient needs; As a result of this formulation, the doctor must print the prescription directly from Mipres and deliver it to the user so that he can claim the service no more than five days after the date of care.

What is the responsibility of the treating physician?

The treating physician has the following responsibilities in the exercise of his profession and his medical autonomy:

• Completely and adequately enter in MIPRES the requests for services not included in the Benefit Plan that you require for your treatment.
• Climb to the MIPRES help desk provided by the ministry, the services required by you and that you cannot enter. There they will carry out the analysis and give an answer to the professional.
• Provide the user with the formula or a management plan with a prescription number that MIPRES gives once the application is successfully entered into the application.
• Fill out the contingency form according to causes defined by the Ministry: in the event that there is no electricity, INTERNET fails, the platform is not available or the application cannot be entered due to inconsistency in the user's affiliation.

This form must be sent to the EPS by the professional.

• Review the status of the prescriptions published by the EPS to make the necessary corrections in case of unsuccessful validations

*** It must be taken into account that only the treating physician can correct the prescriptions generated by him, the EPS is not authorized to adjust its formulation.

What are the obligations of the EPS?

• Download the prescription that the doctor has registered in the Mipres application.
• Carry out the administrative validations defined in the current regulations to the prescriptions made by medical professionals.
• Receive and manage contingency forms sent by professionals.
• Inform the user of multi-affiliation cases and crossovers with the registry's databases for any clarifications that may arise from the user.
• Publish the results of the validations to the prescribing physicians.
• Inform the user where to go for the provision of the prescribed service or technology.
• Inform the user the result of the prescription and what to do.
• Provide the service so that the user can claim it within the times established for dispensing (maximum five days).

What is the user's responsibility?

• Go to the consultation and provide all the medical information required by the treating physician or health professional who attends you.
• Keep for the necessary time the formula or management plan with a prescription number given by the treating physician in the consultation.
• Submit the formula each time you require the delivery of the service.
• Be attentive to the results of the prescription made by the doctor.
• Manage clarifications in case of multi-affiliation with the corresponding EPS and/or the National Registry of Civil Status for inconsistencies in the identification document.
• Claim the NPBS service within five days from the date of the consultation in which the service was formulated.
• Carry out the treatment according to medical indications.
• Request your control consultation in a timely manner if necessary.

How does the user who has been formulated a MEDICATION not included in the PBS access?

• You receive from your treating physician the printed prescription of the NPBS Medication with the recommendation to avoid its loss or deterioration.
• He goes to the pharmacy for the delivery of the medicine in five days.
• Verify that the medication delivered corresponds to the one formulated by the treating physician.
• Comply with the medical indications to carry out the treatment.
• Users with special management pathologies (cancer, hemophilia, rheumatoid arthritis, among others) must wait for the call from the provider who will apply the medication to indicate the date, time and site of application.

How does the user access who has been ordered a SERVICE not included in the PBS other than medications?

• You receive from your treating physician the printed prescription of the NPBS service other than medications with the recommendation to avoid their loss or deterioration.
• In five days, they go to the comprehensive care points (PAI) (Click here for directory) of the EPS from Monday to Friday from 7 am to 5 pm, a continuous day where they will be informed of the provider of their service.
• Comply with the medical indications to carry out the treatment.

What is the employee's responsibility?

• When a user requests information about a NON-PBS service:
• If you are a member of the POS at the comprehensive care points (PAI) of the EPS
• If the user is affiliated with the Complementary Care Plan, the case will be escalated to the service manager at Edificio de Colores Calle 5D con Carrera 39 Torre 2 Piso 4.

If you have questions about the prescription in the Mipres application, you can do it by clicking here contact us EPS, and Services option "MIPRES Scientific Technical Committee".

Remember that there are technologies that are excluded from being financed with public resources assigned to health, for which reason they cannot be supplied through the POS or MIPRES. These technologies are defined by the Ministry of Health and can be consulted on its website: